Charge Auditor -Revenue Integrity - Maitland

  • Adventist Health System
  • Orlando, FL, USA
  • Jan 28, 2018

Job Description

Charge Auditor -Revenue Integrity - Maitland
Florida Hospital seeks to hire a Charge Auditor who will embrace our mission to extend the healing ministry of Christ.

Facility Profile:
Established in 1908, Florida Hospital is one of the largest not-for-profit healthcare systems in the country, caring for more than a million patients each year. The 2,286-bed acute-care medical facility, comprised of eight hospitals, has been recognized by U.S. News & World Report as one of the best hospitals in the country for the past 10 years. It serves as a community hospital for Greater Orlando and as a major tertiary referral hospital for Central Florida and much of the Southeast, the Caribbean and Latin America.

Work Hours/Shifts:
Full Time: Monday - Friday 8am - 5pm

Job Summary:

Knowledge, Skills, Education, & Experience Required:
  • Ability to work and meet deadlines in a fast-paced, dynamic, project-oriented environment through organization and time management skills
  • Ability to relate operational performance in the healthcare environment and to present information to all levels of management.
  • Comprehensive end user computer skills; MS Office including Word, PowerPoint, Excel and Outlook; Windows operating system and Internet.
  • Extensive understanding of CCI edits, CPT, HCPCS, ICD-9-CM, and Revenue codes.
  • Extensive knowledge of Registration, Medical Records Coding, Government, and Managed Care billing rules, coverage, payment, and compliance.
  • Ability to read medical charts or dictation, understand services performed, and correlate those services to charges on the bill (UB-04).
  • Self-motivation, detail oriented focus, and outstanding customer service skills.
  • In-depth knowledge and ability to navigate hospital's multiple information systems; HOST (RI, RS, MA, MM, PS, SD, etc.), EOS, Contract Management, Cerner Millennium & Intranet. (Preferred)
  • Knowledge of FH Chargemaster system and the impact changes in the chargemaster has on the FH Clinical departments and Revenue Cycle. (Preferred)
  • Navigate in DDE (online Medicare billing). (Preferred)
  • Minimum 3-years experience in healthcare or related field, with specific emphasis on billing, charging or coding.
  • Minimum 3 years hospital clinical or nursing experience. (Preferred)

Licensure, Certification, or Registration Required:
  • None
  • Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS) or Certified Professional Coder (CPC). (Preferred)
  • Registered Nurse (RN) currently registered with the Florida State Board of Nursing. (Preferred)

Job Responsibilities:
Demonstrates through behavior Florida Hospital's Core Values of Integrity, Compassion, Balance, Excellence, Stewardship, and Teamwork as outlined in the organization's Performance Excellence Program
  • Works with Clinical Liaisons to routinely identify charging opportunities, proactively identifying revenue opportunity and suggests improvements with revenue cycle leadership to prioritize audits as it relates to charge capture and/or revenue flow.
  • Audits and enters charges at or above minimum accuracy and productivity rate set by department leadership (accuracy measured by monthly quality reviews).
  • Inputs charges correctly into charge capture audit system, working with Clinical Liaison, HIM and PFS to assure complete and accurate billing.
  • Monitors reports of accounts via charge capture audit system on a routine basis, keeping number of accounts on this list below goals set by department leadership.
  • Works effectively with revenue cycle department to thoroughly understand how clinical changes impact changes in net revenue.
  • Performs wide range of duties in support of total department efficiency including but not limited to the involvement in aspects of developing the annual pricing update; creating, updating and maintaining the Chargemaster with minimal errors as established by Revenue Integrity Leadership.
  • Works as part of a team to cover peak periods and assists with workloads as opportunities present.
  • Remains current with all assigned reading and department education plans.

If you want to be a part of a team that is dedicated to delivering the highest quality in patient care, we invite you to explore the Charge Auditor opportunity with Florida Hospital and apply online today.

Job Keywords:
Charge Auditor, Auditor, PFS, Maitland